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03. 1-4; 2016 09: -44 FAX 425 377 1976 REX ELECTRIC <br />ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 — www.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />PROJECT ADDRESS <br />Conner Mail Address City State/Zip Phone <br />i L� -- • -- �= iK �r�'i� 1�� i 7 � � ,krt�^� ����� � tic. -cep <br />Tenant Mail Address City State/Zip Phone <br />Electrical Contractor Mail Address City state/Zip Phone <br />W� 9�z.v y � 5Cc <br />State License Number Contract Price of Work <br />Proposed U94 of Building c <br />Description of Work to Be Done. / <br />NOTE: WIRING IN NON -DWELLINGS IS REQUIRED TO TEE <br />BE IN RACEWAYS, MC OR AC CABLE _ <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3109 <br />I hereby certify that I have read and examined this application and know the same to be true and <br />con -act. All provisions of laws and ordinances governin this type of work will be completed <br />whether spocified herein or not. The granting of a permit does not presume to give authority to I l <br />violate or cancel the provisions of any other state or local law regulating construction or the <br />performance of construction. That I am authorized by the owner of this properfy to perform the <br />work for which application is made and I comply with the State Contractors Law 18.27 RCW and <br />296,200 WAC. <br />